| NPI | 1669102299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFEANYI DAVID NWOKEABIA Owner 215-859-2638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Additional Taxonomies | 261QP3300X Clinic/Center Pain |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2023-12-22 |